Type in your Date of Birth in the space provided. This OTC benefit is intended for the members use only. If not, please call or e-mail one of our representatives. When the PHE expires, the continuous enrollment provision will conclude as well as other enrollment flexibilities granted during the PHE. Download Acrobat Reader, a PDF viewer. The plans robust network of primary care doctors and specialists includes many independent community providers. Their team of clinicians, researchers, engineers, financial experts, and a great number of direct sales representatives have outstanding expertise and know everything about healthcare business. All rights reserved. Requirements to have available to be able to sign in or register to your MetroPlus Advantage Plan account online: Easy steps to follow for new members who need to create an account online: Type in your Member ID in the space provided. Waste of time to try to use this app. The financial stability of H+H is impacted by MetroPlus' ability to continue to attract new members and maintain its current membership, while focusing on better care management. $0 copay for up to 14 one-way trips to health-related locations annually. Since 1985, MetroPlus Health Plan has built a reputation for providing access to affordable, quality health care to residents across New York City. Starting May 16, 2022, the way Personal Care Services and Consumer Directed Personal Assistance Services (PCS/CDPAS) are initially assessed will be changing. Medicaid Managed Care(including Partnership in Care and HARP Plans), children and youth placed in foster care in New York City, and, children and youth placed in foster care and a 29-I VFCA Health Facility. No copays. Visit: www.cvs.com/otchs/metroplus in your internet browser on your device. 50 Water Street, 7thFloor The OTC benefit offers eligible members an easy way to get generic over-the-counter health and wellness products by phone or online. Enter your MetroPlusHealth username and password. Valuable guidelines for creating / processing / submitting your order: You may download MetroPlus Medicare Advantage OTC Catalog: MetroPlus Medicare Advantage OTC Over-the-Counter Video Summary: By submitting this form, you are consenting to receive marketing emails from: HealthManagementCorp (HMC). If you have Medicaid, you MUST apply for Medicare as a condition of continuous eligibility. Call Medicare directly at 1-800-MEDICARE or 1-800-633-4227. 1801 NW 66th Ave. Suite 100 Plantation, FL 33313 It is not allowed to order more than the total allotted amount during each benefit period. To continue with your application you will need to create an account with us using the "Create Account/Login . To maximize revenues from MetroPlus, H+H is working with it to attract more of its members to utilize H+Hs health services and engage its members in routine chronic care management to avoid unnecessary high-cost utilization. Always attentive and great customer service! Significant improvement in member completion of required health screenings made a substantial impact on the HEDIS/QARR measure rates which directly affects the overall rating. Currently Metro Plus Health Plan works with OTC Health Solutions to allow their members to take advantage of their OTC benefit. You will now have full access to your online account and can begin taking advantage of the MetroPlus Health Plan CVS OTC Health Solutions online pharmacy benefits that your plan includes if you qualify. Get inspired on our Blog, find answers to your questions in our FAQs, and explore our health library. The New York State Department of Health (DOH) is allowed to keep people enrolled in Medicaid, CHP and the Essential Plan without themgoing through their annual renewal while continuing to enroll newly eligible individuals. Save your time one less trip to the pharmacy will mean that members may get to spend more valuable time on what matters most. document.write(d.getFullYear()); Essentially, the app is a brick. Our network includes 34,000 doctors, specialists, and participating clinics including. Care. There are a few plans that are inclusive of an allowance that is provided on a monthly basis. MetroPlus Advantage Plan offers every benefit that the Original Medicare offers PLUS the following: This is a program that will enable you to acquire over-the-counter items that will arrive at your address in the mail. Note: Third quarter data of each fiscal year. Additionally, H+H must continue to provide quality care and maintain efforts to improve patient satisfaction, such as keeping appointment wait times low, to continue to attract MetroPlus members. MetroPlus in coordination with H+H is working to facilitate rapid reenrollment in Medicaid for those still eligible, and shift those who lose eligibility to Essential Plan coverage. As part of its outreach efforts to obtain new members, MetroPlus directs individuals that are not eligible or cannot afford insurance to the NYC Care program, a financial assistance program which provides a broad range of health care services at H+H facilities on a sliding scale fee. Explore Qualified Health Plans (QHP) through the NY State of Health, The Official Health Plan Marketplace. Looking for a pharmacy with free delivery? Create and type in a Password and confirm in the spaces provided. Best of all, MetroPlusHealth Medicaid Managed Care comes with no monthly premiums or copays. They may scroll down below and go through on how to set up an account online. Members who are eligible for this health benefit program are able to order over-the-counter products online from the comfort of home by going online, calling an order in or mailing it in. What is the MetroPlus Advantage Plan Over-the-Counter Benefit? Our representatives are also available to help you by phone, and in person at our special events. Urdu The SBC shows you how you and the plan would share the cost for covered health care services. Find below the easy methods where active members of this program can submit their orders: Members must make sure to review the Summary of Benefits of their existing personal plan to verify if their plan has this benefit included in it. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful. Become a member today! The developer does not collect any data from this app. What's New Version History Version 11.1 Member Rewards Program Members get to earn points by keeping up with their health appointments and participating in wellness activities. StartingJuly 1, 2021, MetroPlusHealth will cover Article 29-I Voluntary Foster Care Agency (VFCA) Health Facility services for children and youths under age 21 in foster careand other special populations, as indicated. Plans Medicaid Managed Care Coronavirus Updates Here Medicaid Managed Care No premiums. You may now start managing your account online. We use cookies to make your experience better. In addition to hospital-based providers, our members can also obtain primary and specialty care services at many community-based doctor's offices and neighborhood family care sites. We are happy to walk you through the steps. Nearly 70 percent of MetroPlus membership is enrolled in the mainstream Medicaid managed care plan which experienced the largest actual membership growth of all plans offered. Plan awarded coveted 5-Star rating by its membership in annual survey of New York Citys state-sponsored health insurance plans. To get started, you must create a new account. The 2020 Consumers Guide rates plans on 10 distinct measures across three categories Preventive and Well-Care for Adults and Children, Quality of Care Provided to members with Illnesses, and Patient Satisfaction with Access and Services ultimately resulting in an Overall Rating of 0 to 5 stars. Download our App. MetroPlus is engaging City and State partners to continue to ease these transitions through effective use of public benefits data and eligibility flexibilities still available from the federal government to maintain members insurance coverage and prevent lapses in care. Click here to learn more. By submitting this form, you are consenting to receive marketing emails from: HealthManagementCorp (HMC). Google Translate cannot translate all types of documents, and it may not give you an exact translation all the time. We have a strong focus on primary and preventive care, and our robust network of doctors and specialists includes independent community-based providers and offices devoted to educating you and your family about healthy living, the latest news in . Since 1985, MetroPlus Health Plan has built a reputation for providing access to affordable, quality health care to residents across New York City. var d = new Date(); For example, in 2017, MetroPlus and H+H established a housing taskforce to connect H+H patients in need of affordable and supportive housing, including those that are MetroPlus members. MetroPlus Health Plan has been building a reputation for providing access to affordable and quality health care to the residents of New York City since 1985. If you are turning 65 within the next 3 months or you are 65 years of age or older, you may be entitled to additional medical benefits through the Medicare program. This person is a food and nutrition expert and will help give guidance and support in choosing healthy foods. Quickly access your id and plan information, find a doctor, pay bills or catch up on the latest health information. If you encounter any issues with logging in, please email us athelp.memberexperience@metroplus.org. See Plan information, Health Rewards, and Messages, Find someone in your neighborhood and in your language. Bengali Diversity of care. If your plan includes this benefit, review your Evidence of Coverage to find your exact quarterly allowance amount. The allowance amount varies and depends on the plan. Before continuing using our website you agree and accept our cookie policy & privacy. FOR Qualified New Yorkers Partnership in Care (PIC) HIV - SNP For New Yorkers living with HIV/AIDS and other select groups. Please click on the link below for more details. Click here to learn more or to access care. You may need to log into your account again on the member portal. MetroPlus share of citywide enrollment in the Essential Plan increased from about 17 percent to 19 percent during the same time period. Copyright 2012 - 2023 Health Management Corp | All Rights Reserved After a successful log in, you should be directed to the Home screen of the app. If it does, members must also be aware of the plans specified OTC allowance frequency, whether it is provided monthly or quarterly. The OTCHS online program makes it possible for millions of current eligible plan members to easily order items using their home delivery services. At MetroPlusHealth, we want all New Yorkers to have health care. Do Not Sell My Information. Request refills of your prescription drugs. Our network includes 34,000 doctors, specialists, and participating clinics including. Plantation, FL 33322. MetroPlus makes a payment to H+H after settling the net amount remaining after paying for all medical expenses associated with the VBP arrangement. However, the "Google Translate" option may help you to read it in other languages. Members can find a list of network pharmacies here or use our online provider search tool. Access to doctors, nurses and specialists who all work together to help you feel better. The benefits you need to take good care of yourself. MetroPlusHealth has offered low-cost, quality health care for New Yorkers for more than 35 years. For more information about MetroPlusHealth plans, benefits, and services, explore the rest of our website and join the conversation atfacebook.com/metroplushealthand twitter@metroplushealth. Continue to move forward and provide all the required information until you receive a successful registration confirmation. Contact Line for Current Members: Please first call the number found on the back of your member ID card for accurate and faster service. Language support services are available free of charge. By using this form, you acknowledge that you have read and agree to the, 2020-MetroPlus-Health-Plan-OTCHS-OTC-CVS-Catalog, FirstLine Benefits | ShopFirstLine | Activate Card | Login, Allwell Arizona | Over The Counter Benefit | Walmart. Site Index | Career Opportunities| Contact Us | Privacy and Links Policies | Regulations | Accessibility | FOIL | Webcasts. The MetroPlus Member Services phone line is available in 13 languages, and we can arrange for an interpreter to help with many others. This outstanding result is another proof of the superior healthcare and coverage that over 600,000 MetroPlusHealth members receive and is reflective of the excellent MetroPlusHealth provider network that puts quality healthcare - and our members - first, said Talya Schwartz, MD, President and CEO of MetroPlusHealth. Privacy Policy Its slow to load results, switching apps and coming back to it results in a white screen and losing your search results so you have to close it and redo your search and functions like Make my PCP dont work with a generic error message to the effect of unable to perform this action at this time. The Member Rewards Program enables members to earn points, redeemable for premium items, by completing essential healthcare services such as well-visits, colonoscopies, medication adherence, and more, and healthy activities such as the STEP-UP CHALLENGE, where members track and work to increase their physical activity. At NationsBenefits, your well-being is our top priority. Providing convenient access to care through community events hosted by the QM team, for example, helped the Plan close gaps in care for measures such as dental and diabetic eye screenings, as well as critical completion of flu shots. If you have any questions, please call the CVS CaremarkCustomer Care Team at1-(855) 656-0361 for Medicaid Managed Care and Child Health Plus members or 1-(855) 383-9426 for Exchange Plan members. To contact the media relations team, visit our News & Insights page. By submitting this form, you are consenting to receive marketing emails from: HealthManagementCorp (HMC). $0 premiums for all who qualify, and no deductible, so it pays for your care right away. Easy-to-follow steps are provided below should you feel the need to access the login or registration page. Type in your Member ID in the field provided. MetroPlus Health Plan is a prepaid health services plan and a wholly owned subsidiary of NYC Health + Hospitals (H+H). Type in your current Password in the space provided. If you have any questions, call one of our Member Services Representatives. Be sure you have your personal information on hand. The federal Families First Coronavirus Response Act, enacted in March 2020, authorized fiscal relief to states that created a requirement to keep most beneficiaries continuously enrolled in Medicaid during the PHE. Sign up here or call Medly at (929) 454-5090. This will give you complete access to your online account and start taking advantage of MetroPlus Advantage Plan OTC pharmacy benefits that is included in your plan. MetroPlusHealthMedicaid Managed Care offers low- or no-cost health coverage to New Yorkers who live anywhere in New York City. MetroPlus Advantage Plan | OTCHS | CVS Health | Login. By using this form, you acknowledge that you have read and agree to the Privacy Policy and Terms & Conditions. Learn about all of the free preventive services for adults, women and children. By completing the quotes form or calling the number listed above, you will be directed to a partner that can connect you to an appropriate licensed insurance agent who can answer your questions and discuss plan options. NEW YORK--(BUSINESS WIRE)--MetroPlus Health Plan announced today that it has been ranked New York Citys highest-rated health plan, according to the New York State Department of Healths 2020 Consumers Guide to Medicaid and Child Health Plus Managed Care Plans in New York City, the annual rating of managed care plans on quality of care delivered and members satisfaction with the care and services they receive. A wholly-owned . If you have any questions, please call us at 877-439-2665 (TTY: 711). MetroPlusHealth has offered low-cost, quality health care for more than 30 years. Select the red Sign in button to move forward. (646) 529-9769 / somank@metroplus.org. I just transitioned to the Medicare Advantage, loving these perks! Please enter search text. They simply use credits / a pre-determined allowance provided under the benefit. Rewarding Members for Completing Healthy Activities. MetroPlusHealth offers literally dozens of comprehensive health plans, from Medicaid- and Medicare-eligible to NY State of Health-compliant. The Office of the State Comptroller does not warrant, promise, assure or guarantee the accuracy of the translations provided. If you successfully registered you will receive an email verification showing that all is good with your registration. This provision means enrollment in these plans will likely continue to rise through the PHE which is currently authorized through mid-October 2022. MEMBERS; PROVIDERS; BROKERS; PLANS; GOOD4YOU; MEMBER REWARDS Changes in MetroPlus enrollment have a direct impact on H+H's financial stability. Learn more here. A wholly-owned subsidiary of NYC Health + Hospitals, the nations largest public health system, MetroPlusHealth is the plan of choice for over 600,000 New Yorkers and has a five-star rating based on the States 2020 Consumers Guide to Medicaid and Child Health Plus Managed Care Plans in New York City. Members who have an ongoing prescription including medications, certain supplies such as pen needles, test strips, continuous glucose monitors, and blood glucose test strips at a Walgreens or Duane Reade should call their health care providers to get a new prescription to be sent to a different pharmacy. If you rely on information obtained from Google Translate, you do so at your own risk. Notes: NY State of Health includes health plans for individuals and small businesses. You may click on the following links to view the entire details. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. var d = new Date(); ), places (hospitals, urgent care centers), and pharmacies in the MetroPlusHealth network. Members get to earn points by keeping up with their health appointments and participating in wellness activities. All told, our culturally sensitive staff is fluent in more than 40 tongues. They are a wholly-owned subsidiary of NYC Health + Hospitals, which is the biggest municipal health system in the US. No matter who you are, how old/young you are, or what you need, we have a plan for you. Auto Services MetroPlusHealth 1.7 (149 reviews) Claimed Health Insurance Offices Open 9:00 AM - 5:00 PM See hours Write a review Add photo Photos & videos See all 9 photos Add photo Services Offered Verified by Business helpful About the Business In addition to Medicaid Managed Care, Metroplus Health Plan offers dozens of quality health plans, NOTE: please visit the site directly to verify the details and obtain more information. The developer, MetroPlus Health Plan, indicated that the apps privacy practices may include handling of data as described below. Language Support services are available free of charge. A credit or pre-determined allowance is given within the benefit. Starting January 1, 2022, Walgreens and Duane Reade will no longer be in the pharmacy network for members of these plans: Where can I find a list of participating network pharmacies? Get inspired on our Blog, find answers to your questions in our FAQs, and explore our health library. You will need to make sure that the total amount due is within your allotted monthly benefit amount. MetroPlus Health Plan Enrollment Application Create Account / Login Please fill out the application below. Since 1985, MetroPlus Health Plan has built a reputation for providing access to affordable, quality health care to residents across New York City. The orders will be shipped to their home at no extra charge. Eligible members can go online (see below on how to set up an account). You can always contact us via our website. For New Yorkers living with HIV/AIDS and other select groups. The card must be activated and the initial OTC dollar amount will be loaded onto the card. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful. And we want our members to have quality health care, at little to no cost. Members must review the Evidence of Coverage of their plan to check if it is included in their benefit and to find out the exact amount of the monthly allowance provided. Choosing MetroPlus Advantage Plan (HMO-DSNP) will give members an access to the most complete health plans in New York City. or by completing our Contact form by clicking here. These products are all provided at no extra cost but by using a credit / pre-determined allowance provided under the benefit. MEMBER SERVICES Contact Line:Please first call the number found on the back of your member ID card for accurate and faster service. Kathryn Soman, MetroPusHealth They will keep getting services through regular Medicaid. This benefit will also assist you with the cost of essential health care products that are not within the medical or pharmacy expense under your plan. The Essential Plan is a subsidized basic health plan offered with the NY State of Health. Its fast, easy you fill out as many or as few search fields as you like and the listings are updated weekly. Need help getting started? Members who are qualified may receive up to $64 quarterly in food vouchers for buying fresh and healthy food from different participating vendors. Once on the home screen, you can find information about: Clicking on Find your Doctor (Provider) link will take you out of the app and into the member portal through a browser. MetroPlus enrollment reached a record high of 670,915, an increase of 159,284 members (31 percent) between February 2020 and June 2022, the period impacted by the COVID-19 pandemic (see Figure 1). Find a plan that's right for you. MetroPlusHealth attributes its 5-star rating, a feat shared by only one other plan in New York City, to a number of factors, including: The MetroPlusHealth Quality Management (QM) Department has been at the forefront of the health plans continuously improving quality measure scores. After a successful log in, you should be directed to the Home screen of the app. Unite. In this version, you'll experience bug fixes and improved app performance. We have provided a quick guide for you to find out how you can sign in to a current account or activate a new online account and gain access to manage it online. Off Exchange Enrollment Application By using this portal you consent our privacy policies An email verification will appear in your inbox once you have registered successfully. The only reason they have this app is so that when theyre lobbying lawmakers to give them money they can say they have an app (effectively they do not! ATTENTION: QM Health Risk Assessment Unit Members will get $125 monthly to use for OTC health essentials. Health plans in New York City confirm in the space provided get started, you should directed! Uniting communities through care Rewards, and we want all New Yorkers living HIV/AIDS. 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Types of documents, and in person at our special metroplus health plan login e-mail one of our services... $ 64 quarterly in food vouchers for buying fresh and healthy food different. Read and agree to the pharmacy will mean that members may get to earn points by keeping with...